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3521 LOMBARD AVE 2018-01-02 MF Import
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3521 LOMBARD AVE 2018-01-02 MF Import
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Last modified
5/2/2022 2:07:39 PM
Creation date
2/17/2017 8:43:49 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
3521
Imported From Microfiche
Yes
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S 7. PricM1e4D17-Jo �� � � 8 `. �,� � /Q � �� <br />W. 2. Furm 3 • <br />CITY OF EV�RETT— �3Uater Dept. <br />%l�o � :��i..�... ..._.....�9-:� <br />Application No ... .... .........'..... Daate�.. ....... - -..... .. . <br />rTn�tal]__.........�1...��. ..-...inch water service pipe <br />FOP ""_'..........._..2:=......IICV.p:..........�x.ux. .� _ ........'_" <br />. .... . ...... ............. <br />�:h. J.-..l........ _.C... . .......:(----.......—...... Street <br />On . ................ . <br />Lot......................._.............--- .............._.. Block No...--...-------��---.......... <br />Addition - .... - ---- -....... . <br />...._ ........................... -- � <br />_ ... <br />....... ............... , <br />Remarl:s � <br />...... ��JL-�-'-:..... -- �1.:,�-V-r.�-rf- s__..,..._... ....._. .'�.� <br />............_... -_ ..................... -- <br />........ .................... ...................................................... <br />................................ .......................�.......f} <br />, --'�' � V ........_..... <br />,,,, <br />..::.__. ,�;s.....�.�,. <br />_ --- ��_- <br />�t�LABOR @.ND 11SAT�RIESL USED <br />r <br />'_Qo. •�iz . _!! __ - -..--_ <br />_-- _-- _- - : <br />�.'...:.....I Lead Connectinn Complete <br />.......................... ...............:. <br />. _....._�, Saddle ComPlele <br />..................................._..... .. <br />......................ft...........................1 ....................................................... <br />_ Scivice Cock <br />......................... ........_.............._. <br />_.......... Service Box <br />. _. � _. .. _ ........ .. ...................... _ _..I ....... _............. _................. _....... _.... <br />... <br />......I ...........................I .. <br />No. Hours Labor ................._................_........cos�.................................................... <br />Cutin........._......_Pavement..__ ..............X........................ ........................Sq.Ft. <br />....................:i........................ ........................ <br />,� <br />....................x........................ ........................ „ <br />x........................ ........................ .. <br />....................Total <br />........................Sq. Ft. <br />-_._ _...--T--- — — -- <br />Remarl:s...�� ...:.:_ ......:..................:._...................................................__. <br />__..._ ._.._.._ .............................__.............. .. - ...._.......... - ...........-- ...... <br />_... _.. _ ........................ ......_..........................................__--.�.................. . <br />. <br />..... <br />, <br />� :..... ,..:..�� � ' ... .... <br />Order Fcceived ...................-..._......._.._..... .. 1r,.-- ....,_.,..... <br />�^ork Completed.:'...._'.`.:;�...... ........ <br />_ ..............-.......... _...... ........ _.... ... ... <br />Foreman <br />
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